Individual
DR. MICHAEL GUNNARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 ARROWHEAD LN, MOOSE LAKE, MN 55767-9453
(218) 485-4615
Mailing address
75 ARROWHEAD LN, PO BOX 493, MOOSE LAKE, MN 55767-9453
(218) 485-4615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9979
MN
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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